| NPI | 1962331801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11048962) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9601457) |
| Enumeration Date | 2026-05-18 |
| Last Update Date | 2026-07-18 |